6467 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6467
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Barbara McLaughlin
OWNER of property located at Cleverdale Road Street,Road or Ave.
Alteration and Addition to Dwelling
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and p'
sr
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
N
1. OWNER'S Address is 1-6
Cleverdale, N. Y.
2. CONTRACTOR or BUILDER'S Name
Joe Roulier
3. CONTRACTOR or BUILDER'S Address
P. O. Box 301 )(1)r)
Cleverdale, N. Y.
4. ARCHITECT'S Name
SL
N
5. ARCHITECT'S Address 0
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry I )Steel ( )
7. PLANS and Specifications 4 'x25' addition to existing porch per plot plan
specifications and application submitted.
No.
THIS PERMIT DOES NOT SERVE TO EXEMPT YOUR PROPOSAL FROM
B. Propose 'UseAPPROVAL OR PERMIT REQUIREMENTS OF OTHER STATE OR LOCAL N
GOVERNMENTAL BODIES. r K
One—Family Dwelling Pi
IQ 0
$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES • February 1 19 81 PJ
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the II R+
town of Queensbury before the expiration date.) n
D' Iv
Dated at the Town of Queensbury this 17th Day of July 19 8 0
(1-
SIGNED BY e for the Town of Queensbury
Builonng and Zoning Inspe o
rt
0
TOWN OF QUEENSBURY t (Space inside block to Ix. tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for A)'1i1i`.iti("' No.
PP Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 1g
%Agiin� District
Ale 01 Work$
THREE 131 Copies of a PLOT PLAN, Drawn to scale \11'1„".`1 1w
showingthe actual dimensions of the lot to be built Mein)l(c.
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION, TOWN OF QUEENSEu . .
i g — --7.--— i/ . . . . . . .71/. 7/0? REOnVE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUL1 7 1980
ANSWER ALL OF THE FOLLOWING. A.M. t /60 Fe-e-eP 6(
71 ti N 11(f1]1112 1 2 3 4 5
The undersigned hereby applies for a permit to do the following work 1 J
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owQ�r of t),is property is: 4 /7.4 Z2
(NA•:E1 / (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Buildy).Code and the Zoning Ordinance apply is:
i e..v- 1. < 1 , �� , �, X c>� L� }.<<- �l �L�j .....7-°. V
�� (NAME) 7 . (P.O ADDRESS)
(. ,r Address 'r - e ,�It . .
Name of Builder--.-.' ".c ., `.� K
Name of Plumber Address
Name of Mason Address -
Lot Number. . . . le.. . . Unit Estimated value of proposed work$ . /-� `"
Name of Village . . . <.1. :.f,.-.-4 : 4‘ .
Name of Street . . . e4 c:`c/-, ,,fd, Side of..treet: north ❑, east [0', south O. west 0
`<, . . . . Distance from this -ross street '"" -,rc- Ft.
� s? ,'_ •/•) . . . . . . . . .
� � •
Nearest Cross Street /,/.�� • •
Property is north Or,south ❑,east i i,west 0 from Cross Street
If on Corner,which corner,northeast ❑, northwest ❑, southeast 0 southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Building
Construction of a new building. One-family dwelling
ClAddition to a building. Two-family dwelling 0
❑ Alteration to a building. . . . . -family apartment house ❑
❑ Demolition of a building. Store building 0
. . . . -car attached garage ❑
Other:
4tJ e.„,,,d' ,"-z d( 7c.C, , Accessory Building
1 ,sr One-car detached garage
❑ Other work. Describe' EC
Two-car detached garage
Private chicken house 0
Private storage building
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names,the location and
size of the property, the location,size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
liuilding(s) in solid line. /dry ` '?'
Size of property Pe) ft. x . . .. 2 3,3. ft
Size and use of existing buildings, if any
i m Size of proposed building ft.x —,) ft.
Height(from grade to ridge) ft.
Front yard f/ ' ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH If ofi corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M
(coned.)
BUILDING SPECIFICATIONS., J
Kind of construction: Wood frame,fire safe,etc.?. . . . . Gc.' . ... . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what)
Material of foundation walls s''' Thickness
Depth of foundation walls below grade ..-- Continuous foundation?
Will there be a cellar? '""
If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs
„x ",spacing "o.c.,length • ft.
Size, floor beams, 1st floor . . . . . . . . . "x :)'3 ",spacing / . • "o.c.,span ft.Size, floor beams,2nd floor " "x ,spacing "o.c.,span ft.
Size, ceiling beams "x ", spacing "o.c.,span ft.
Size, roof rafters or bea " x ",spacing "o.c.,span ft.
Exterior finish --_'4 `46 • ''X" 4' / With what material?
Finish of interior walls. . . . . . . . . .
If garage is to be attached,of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chiihney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to to bard my knowledge and belief the statements contained in this application,together with the plane and specifications sob.
mined, are a true and co.,. lete statement of all proposed work to be done on the described premises and that all�wt's of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with.whew specified or not,
and that such work is authorised by the owner. _ r� � '
Sworn to before me this Signature O ER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
Ar day of �� 19...1j..
NOTARY PUBLIC. WARREN C/OUNTY. N. Y. `�,
-s
SPECIAL CONDITIONS OF THE PERMIT:
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